Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $50.54 / $53.32	Facility		$50.54	$50.54	$53.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $60.93 / $81.80	Professional		$46.14	$60.93	$81.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $308.89 / $308.89	Facility		$90.60	$308.89	$308.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $115.14 / $224.06	Professional		$63.69	$115.14	$224.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $71.95	Professional		$57.73	$57.73	$71.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $70.15 / $140.71	Facility		$51.94	$70.15	$140.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $70.15 / $129.51	Professional		$52.56	$70.15	$129.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.74 / $100.62 / $175.66	Professional		$18.74	$100.62	$175.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $127.77 / $135.32	Facility		$95.93	$127.77	$135.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $90.60 / $90.60	Facility		$90.60	$90.60	$90.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $141.62 / $175.77	Professional		$91.40	$141.62	$175.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.42 / $354.42 / $543.76	Facility		$354.42	$354.42	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $115.14 / $160.40	Professional		$86.60	$115.14	$160.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $116.51 / $191.89	Professional		$78.20	$116.51	$191.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $63.34 / $63.34	Professional		$53.56	$63.34	$63.34